Active Life Medical & Wellness

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ACTIVE LIFE MEDICAL & WELLNESS

Practice address

3015 Calloway Dr Ste D6
Bakersfield, CA 93312-2657

Phone

(661) 834-1544

Fax

(661) 837-2233

NPI assigned

Mar 6, 2020

Last updated

Mar 6, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Sabol, DCNPI 1508881038

Title

Provider

Phone

(661) 834-1544

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Joseph Ostrom, D.O.

  • Emergency Medicine Physician
  • Tulare, CA
  • NPI 1730169855
  Medicare reassignment Care Compare group NPD
• Mukesh Patel, P.A.

  • Physician Assistant
  • Bakersfield, CA
  • NPI 1306819552
  Medicare reassignment Care Compare group
• Katrina Lynn Price, NP

  • Family Nurse Practitioner
  • Bakersfield, CA
  • NPI 1982352423
  Medicare reassignment NPD
• Jason Christopher Sabol, DC

  • Chiropractor
  • Bakersfield, CA
  • NPI 1508881038
  NPD (past) Authorized official
• Eric J Walker, D.C.

  • Chiropractor
  • Bakersfield, CA
  • NPI 1346498201
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583452800000",
    "number": "1144855461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 CALLOWAY DR STE D6",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122657",
            "telephone_number": "661-834-1544",
            "fax_number": "661-837-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 CALLOWAY DR STE D6",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122657",
            "telephone_number": "661-834-1544",
            "fax_number": "661-837-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE LIFE MEDICAL & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A",
        "authorized_official_last_name": "SABOL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "661-834-1544",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ysidora Acosta
• Action Family Counseling - Bakersfield Inc
• Action Family Counseling Bakersfield RTC
• Neil Actis
• Active Care Supply LLC
• Natasha Acupan
• Renee Grace Acupan, NONE
• Shiela P Acusar
• Efleida Adalia, RN
• Kathi Adam, RN

• Family Medicine Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.